v2717-977

19i

IV J. Jonas

Name of Taxpayer

Date of Report ...A^'^.J^r:^^^

1

., 19.

lex:

Examining Officer

KLibTly

STATEMENT OF TOTAL TAX LIABILITY

LIABIUTY 1 PREVIOUSLY ASSESSED*

ADJUSTMENTS PROPOSED IN THIS REPORT

BAR

Tax

Penalty

Tax

Penalty

Tax

Penalty

Dcflcicncy Overaaaeaiment

INCOME TAX

6

b,713.08

12,190.32

6,177 .2J

8

none

nona

TAL..

TAL.

TAL..

*Suinniary of Adjustments of Assessments Year 19

iginally assessed

ficiency assessed, 19 ,

erassessment scheduled, 19..

T PREVIOUS ASSESSMENTS

INCOME TAX

Year 19 .

iginally assessed

ficiency assessed, 19 ,

erassessment scheduled, 19_.

T PREVIOUS ASSESSMENTS

//'/

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